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J Obes Eat Disord, 2017
ISSN: 2471-8203
August 23-24, 2017 | Toronto, Canada
allied
academies
INTERNATIONAL OBESITY, BARIATRIC AND
METABOLIC SURGERY SUMMIT AND EXPO
W
ith the ongoing rise in obesity, clinicians will
increasingly care for more obese children struck with
critical illness. Clinical management in these patients often
become complicated, as obesity adversely impacts numerous
organ systems. First, routine bedside care and medical
procedures are impaired by the effect of obesity. Second, the
critically ill obese child has a unique pulmonary physiology
that has implications for their care, including difficulties
with airway management and mechanical ventilation. From
a cardiovascular standpoint, the obesity cardiomyopathy
affects the hemodynamic management of these patients
in the pediatric ICU. Next, the nutritional support and
pharmacologic management, including medication dosing,
are additional areas of challenge and controversy with regard
to the care of these children. These children are also at higher
risk for ICU-associated complications, including healthcare
acquired infections and venous thromboembolic disease.
Lastly, specific pediatric diseases are significantly impacted
by obesity; this includes trauma, burn injuries, asthma, and
pediatric cancer. Clinicians should recognize obese children
as a unique patient population that merit special attention.
e:
mjhobson@iupui.eduObesity in pediatric critical illness
Michael J Hobson
Riley Hospital for Children, USA
J Obes Eat Disord, 3:2
DOI: 10.21767/2471-8203-C1-003